MAXIM A CHASANOV MD - Medical Doctor License in Illinois | # 125024959

MAXIM A CHASANOV MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024959

License Status

EXPIRED

Business

N

First Name

MAXIM A

Last Name

CHASANOV

Suffix

MD

Business Name

MAXIM A CHASANOV MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006